1043249709 NPI number — JOHN A. YUHAS, M.D., P.C.

Table of content: (NPI 1043249709)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1043249709 NPI number — JOHN A. YUHAS, M.D., P.C.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
JOHN A. YUHAS, M.D., P.C.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
REGIONAL EYE CENTER, P.C.
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1043249709
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1531 W 32ND ST
Provider Second Line Business Mailing Address:
STE102
Provider Business Mailing Address City Name:
JOPLIN
Provider Business Mailing Address State Name:
MO
Provider Business Mailing Address Postal Code:
64804-1611
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
417-781-3630
Provider Business Mailing Address Fax Number:
417-624-9704

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1531 W 32ND ST
Provider Second Line Business Practice Location Address:
STE102
Provider Business Practice Location Address City Name:
JOPLIN
Provider Business Practice Location Address State Name:
MO
Provider Business Practice Location Address Postal Code:
64804-1611
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
417-781-3630
Provider Business Practice Location Address Fax Number:
417-624-9704
Provider Enumeration Date:
07/02/2006

Additional Information

Authorized Official

Authorized Official Last Name:
YUHAS
Authorized Official First Name:
JOHN
Authorized Official Middle Name:
A
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
417-781-3630

Provider Taxonomy Codes

  • Taxonomy code: 207W00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 502754617 , issued by the state of ( MO ) . This identifiers is of the category "MEDICAID".
  • Identifier: 0000110653 . This is a "BC/BS PITTSBURG LOCATION" identifier , issued by the state of ( KS ) . This identifiers is of the category "OTHER".
  • Identifier: 0000031517 . This is a "BC/BS JOPLIN LOCATION" identifier , issued by the state of ( KS ) . This identifiers is of the category "OTHER".




Copyright © 2007-2024 www.npivalidator.com